11-18-2010, 01:53 PM
Asthma and allergic
rhinitis can be associated with atopic dermatitis.
rhinitis can be associated with atopic dermatitis.
notes-1 - usmlevictory1
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11-18-2010, 01:53 PM
Asthma and allergic
rhinitis can be associated with atopic dermatitis.
11-18-2010, 02:02 PM
A 49-year-old obese white male with poorly controlled
diabetes mellitus, hypertension, and hyperlipidemia presents to clinic for a regularly scheduled visit. He complains that his left lower extremity is red. He denies constitutional symptoms or pain. His vital signs are within normal limits. He has a warm leg with circumferential erythema extending from the ankle to the mid-calf. He has 2 pitting edema bilaterally with hemosiderin staining (brownish macular lesions) of the ankles. There are no open sores or minor trauma noted. See Figure 18-4; see also color section. His complete blood count with differential is within normal limits. You send him for Doppler studies that fail to reveal venous thromboses. You prescribe 7 days of oral cephalexin and send him home. He returns the following day with modest improvement in the redness. After completing the antibiotic course, he presents to clinic 3 weeks later, complaining of return of the redness. The most effective treatment or study at this time would be: A) A third course of oral antibiotics for 14 days. B) Admit the patient to the hospital for intravenous antibiotics. C) Send a punch biopsy of skin for bacterial culture. D) Recommend daily leg elevation and compression hose use. E) Prescribe diuretics (e.g., furosemide).
11-18-2010, 02:08 PM
B
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